Medical Coding Specialist
2 days ago
This role is focused on accurately coding medical diagnoses and procedures for a psychiatry practice. The successful candidate will have experience in medical coding, preferably in a psychiatry or mental health setting.
Responsibilities include assigning accurate ICD-10-CM, CPT, and HCPCS codes to patient diagnoses and procedures based on clinical documentation within electronic health records (EHRs). Additionally, the coder will apply knowledge of psychiatric diagnoses and treatments to ensure appropriate code selection.
The ideal candidate will be able to review and analyze physician/therapist notes and other medical documentation to determine accurate coding. They will also provide education to providers regarding proper documentation and communicate directly with providers regarding missing documentation needed for billing.
Maintaining up-to-date knowledge of coding guidelines, regulations, and payer requirements is essential for this role. Ensuring compliance with HIPAA regulations and maintaining patient confidentiality are also critical responsibilities.
Work closely with billing staff to resolve coding-related claim denials and rejections. Assist in the development and implementation of coding policies and procedures. Perform audits of medical records to identify and correct coding errors. Ensure timely and accurate submission of claims.
Document coding decisions and rationale. Communicate effectively with physicians, therapists, and other staff regarding coding issues. Provide coding education and training to clinical staff as needed.
Utilize EHR systems to access and update patient medical records. Be proficient in the use of electronic billing systems.
Key Responsibilities:
- Assign accurate ICD-10-CM, CPT, and HCPCS codes to patient diagnoses and procedures based on clinical documentation within electronic health records (EHRs).
- Apply knowledge of psychiatric diagnoses and treatments to ensure appropriate code selection.
- Review and analyze physician/therapist notes and other medical documentation to determine accurate coding.
- Provide education to providers regarding proper documentation.
- Communicate directly with providers regarding missing documentation needed for billing.
- Maintain up-to-date knowledge of coding guidelines, regulations, and payer requirements.
- Ensure compliance with HIPAA regulations and maintain patient confidentiality.
- Work closely with billing staff to resolve coding-related claim denials and rejections.
- Assist in the development and implementation of coding policies and procedures.
- Perform audits of medical records to identify and correct coding errors.
- Ensure timely and accurate submission of claims.
- Document coding decisions and rationale.
- Communicate effectively with physicians, therapists, and other staff regarding coding issues.
- Provide coding education and training to clinical staff as needed.
Requirements:
- Minimum of 2 years of experience in medical coding, preferably in a psychiatry or mental health setting.
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
- Familiarity with medical terminology, anatomy, and physiology.
- Proficiency in using EHR and medical billing software.
- Excellent attention to detail and accuracy.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Knowledge of HIPAA rules and regulations.
Preferred Qualifications:
- Experience with Charm EHR.
- Knowledge of common mental health medications.
- Experience with prior authorizations for mental health services.
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